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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMIE YVONNE CUSTODIO

Active

JAMIE YVONNE CUSTODIO is a Behavior Technician healthcare provider located in EIELSON AFB, Alaska. NPI 1205339470 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · EIELSON AFB, AK

Registration Details

NPI Number
1205339470
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2018 (8.4542603580727 yrs)
Last Updated
Jan 17, 2025

Practice Information

Address
2462 BALD EAGLE LN APT D
EIELSON AFB, AK, 997024007
Browse AK providers · Browse ZIP 99702
Phone
9253056722
Primary Specialty
Behavior Technician
106S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.